| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,739 |
7,981 |
$479K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
572 |
291 |
$195K |
| 93880 |
|
1,731 |
1,726 |
$179K |
| 95886 |
|
1,823 |
1,764 |
$164K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,213 |
1,213 |
$148K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,013 |
1,347 |
$134K |
| 93890 |
|
880 |
876 |
$112K |
| 93886 |
|
799 |
796 |
$94K |
| 95816 |
|
244 |
244 |
$37K |
| 64615 |
|
297 |
296 |
$29K |
| 95911 |
|
225 |
223 |
$28K |
| 95912 |
|
181 |
180 |
$27K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
110 |
40 |
$6K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
2,471 |
1,119 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,395 |
1,070 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$963.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$781.76 |